D-PENICILLAMINE THERAPY ASSOCIATED WITH RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS

被引:20
作者
MACARRON, P
DIAZ, JEG
AZOFRA, JA
DEFRANCISCO, JM
GONZALEZ, E
FERNANDEZ, G
SAMPEDRO, J
机构
[1] HOSP VIRGEN SALUD,RENAL UNIT,TOLEDO,SPAIN
[2] HOSP VIRGEN SALUD,RHEUMATOL UNIT,TOLEDO,SPAIN
[3] HOSP VIRGEN SALUD,DEPT PATHOL,TOLEDO,SPAIN
[4] UNIV AUTONOMA MADRID,FDN JIMENEZ DIAZ,DEPT INTERNAL MED,CONCEPCION CLIN,MADRID,SPAIN
关键词
RHEUMATOID ARTHRITIS; D-PENICILLAMINE; RAPIDLY PROGRESSIVE GLOMERULONEPHRITIS; HEMOPTYSIS;
D O I
10.1093/oxfordjournals.ndt.a092089
中图分类号
R3 [基础医学]; R4 [临床医学];
学科分类号
1001 ; 1002 ; 100602 ;
摘要
A 55-year-old woman with advanced rheumatoid arthritis developed rapidly progressive glomerulonephritis with epithelial crescents and pulmonary hemorrhage following treatment with D-penicillamine. D-penicillamine was then withdrawn and a pulse therapy with methylprednisolone halted the progression of kidney and lung damage. We review the other cases previously reported and discuss pathogenesis and treatment of this rare condition.
引用
收藏
页码:161 / 164
页数:4
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